Lan Ngoc Nguyen, FNP/APRN
Family Medicine in Fort Smith, AR. Individual provider (NPI-1).
NPI number1326472002
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1326472002
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lan Ngoc Nguyen
- Credential
- FNP/APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2013
- Certification date
- Dec 16, 2024
- Last updated
- Dec 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | a006245 | AR | Yes |
| 364SP0200X | Clinical Nurse Specialist, Pediatrics | 5463 | CT | |
| 363L00000X | Nurse Practitioner | 5463 | CT | |
| 363LF0000X | Nurse Practitioner, Family | 005463 | CT |
Practice location
2713 S 74th StFort Smith, AR 72903-5170
Phone 479-314-4620 · Fax 479-314-4630
Mailing address
2713 S 74th StFort Smith, AR 72903-5170
Phone 479-314-4620 · Fax 479-314-4630
Other practice locations
80 Phoenix Ave
Waterbury, CT 06702-1418
Waterbury, CT 06702-1418
Phone 203-756-8021 · Fax 203-596-9038
4600 Rogers Ave
Fort Smith, AR 72903-3149
Fort Smith, AR 72903-3149
Phone 479-494-7443
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